Individual
MONICA MUSHLIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5 STEAMBOAT DR, VERNON, NJ 07462-4524
(845) 544-6331
Mailing address
7 SOUTHGATE RD APT 13, MIDDLETOWN, NY 10940-2048
(845) 544-6331
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
167133
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609430131
—
NY
Enumeration date
04/30/2019
Last updated
10/31/2020
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